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Organization

PAULINE'S PLACE ADULT DAY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETTY JONES (PROGRAM MANAGER)
(314) 438-7100
Entity
Organization

Contact information

Practice address
8460 WATSON RD, 130, SAINT LOUIS, MO 63119-5247
(314) 438-7100
Mailing address
8460 WATSON RD, 130, SAINT LOUIS, MO 63119-5247
(314) 438-7100

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1266
MO

Other

Enumeration date
09/18/2015
Last updated
09/18/2015
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